Gynaecological symptoms can be worrying, disruptive and sometimes difficult to talk about. At Harley Street Specialist Hospital, we offer a calm, confidential environment for assessment and treatment planning, with rapid access to investigations when needed.
Whether your concern is new, ongoing, or you want a specialist opinion, our team will focus on understanding your symptoms, explaining your options clearly, and agreeing the next step with you.

Conditions we assess and treat
We can help with a wide range of gynaecology and pelvic health concerns, including:
- Menstrual disorders (heavy bleeding, irregular cycles, bleeding between periods)
- Pelvic pain (including persistent or recurring pain)
- Ovarian cyst assessment and management
- Vaginal or vulval cysts and lumps
- Pelvic organ prolapse
- Urinary incontinence and bladder symptoms
- Recurrent urinary infections and related pelvic floor issues
Urogynaecology and pelvic floor care
For many women, bladder symptoms and prolapse overlap with pelvic floor health. Specialist assessment can help clarify what is happening and which treatments are most likely to help, from conservative options to procedures where appropriate.
Treatments and procedures
Your consultant will discuss the most suitable approach for your symptoms and goals. Treatments and procedures may include:
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Outpatient hysteroscopy (to assess the womb cavity where indicated)
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Coil (IUD) insertion or removal
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Contraceptive implant removal
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Pessary fitting for prolapse
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Urodynamics and cystoscopy (for bladder symptoms, where appropriate)
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Bulking agent injections and other options for urinary incontinence
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Botox bladder injections (intravesical) in selected cases
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Surgical options for prolapse or other conditions when required (with clear discussion of benefits and risks)
Imaging and investigations
If investigations are needed, we can help coordinate appropriate diagnostics, including pelvic ultrasound and other imaging pathways, so you can move from symptoms to answers without unnecessary delay.
What to expect from your appointment
Your consultation typically includes:
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A detailed symptom review and medical history
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Discussion of relevant examinations (only if needed, and always with consent)
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A clear explanation of likely causes
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A plan for investigations and treatment options
Paying for your appointment
We welcome patients with private medical insurance or those wishing to pay for their own treatment. You may be able to book without a referral letter, but any prior letters or results are always helpful.

